Laserfiche WebLink
PE�IVIIT F'�� C�iI.C�ATION <br /> 1. 1.25% of Contract Price* or Miaimum Fee (535.00) <br /> x .0125 $ <br /> (contract price) � <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. x .0005 $ <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. Posta,_..ge and Handlin� (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, <br /> tenant or any other party the reasonable market value of such items must be added to the estimated cost <br /> or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> the City may request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCHARGE is .Of)OS of the contract price under $1,000,000 or $.50 - whichever is <br /> greates. For vatuations over $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this agplication are complete, true and <br /> correct. <br /> r � , <br /> � <br /> �� �� <br /> � Applicant's Signature: ( �S`V ��� '�--- Date: � "9� ' ° ° <br /> , <br /> � <br /> -. ,� � � „�,� - ,�,t,; ;�;-�� ^;�� x ����.� �;�,��,�< <br /> _,' �,�:� �'' ,. � � � �,�� �� <br /> `�,. ,.� - � ',_: , <br /> � :,: ,: � �;s� <br /> � - � £ �.��� - � <br /> _ . <br /> , . <br /> . <br /> �.e, . . <br /> < <br /> .•, <br /> � <br /> �. '� �w Y �� <br /> '` `� ��� � ":�r �s'sy. �: `�" -z, y .� ..<r¢ �:. � <br /> � yay � <br /> �,,: ° <br /> �: �P `� f`�. <br /> ... .� , <br /> t 3 .,. . <br /> , - - - • - . <br /> , , . , .- <br /> � � <br /> � , - <br /> . . : , .. � .�,: c <br /> ' ^` - :. �, � . - , ' � <br /> � <br /> � : <br /> : ` , <br /> :. r� � ���������� � <br /> ° � C �� �1�r i � �+'����� i <br /> :'�' S �" � � �'i -u. 5 .. 4'.[. <br /> ai �y 'a � � 'm� '.4;� {���4 6 j -� �� <br /> �# G' d �' y,_� � . "..{ �' 4�����, S ; <br /> ..T "� a' ts tF�C'a q � � L'#,� ,� :�,,, » �� �u`�„'�4"`+�M. `F , `Kj <br /> t x' ' � � `= x � .� � � �''..`xe�`"�A' ' �: <br /> � +�'�x .. „�('���. ��'� .n ��,. ;� '�'a �� j �F. �� �F ��v. ��'���`���Ls� <br /> i �i � ,,{yfi v"�. ��.� i'� e *�„ ���''� `4, . ���TM+ ��$ i' "�`. <br /> a ,��,4k�`"�� +£,. .�N9,�!� � �'i,�V�, x y �-."k�',-��'',� t ^a,'e'� ��+. d � l��fi��4�.. ,a x-�,�'� F*i�.;�:�„ ,r a�e.z"�'���„� '°*,,� , .� �x ,�e'�?i,'�^" l��7„�i,�.-'�'--�;'� t�F. '��.u�..,: <br /> �,:.:Y a�' .` � ; d '-T 3 ..: ,.an,. � � <br /> � i��'�y,vt`.�`x� �� r `�c�1�p'1�ra �'`�s°s,�`c�,-��` �'� � ��y��f; . r.� � , � ; � �v�.'�y � �x� <br /> .'i�'' 4'N �,� ��K"'���ard{�.✓A�� }��'�1�A i� ��tt '� 'Y'��i,y��r'§bs-��# ��f��" .,K aPv+ '�4:.t��. . �� �' gRuC.;� � `y_9 ; '�f`� n�;�. <br /> 4, 'Cr *�s� '3� i u �` 3 '^ ..s�1th ,;y `s- '' `` '�' ao- �F 't.. <br /> �� l{ "tvy:� ��P^e�.7�yS+� 3:� 1`. T, �t��,.i�" � t" yYe" y�S 3S F-:�.'F� r�"' �.�:.� 3 f� ,i �?�!'.yy,�� ��: ('d. I?_4 ,.:� <br /> "� � � �' � ,� �-�y,��� �+, t� � � ' � � <br /> - .k'' �r,�-�x�-� � .�,�i�� 'n a:- . �.'.r ? w`' .`�+r"�� .�a r �.S.d ��a' �;, �s-`"4"m�� u � -v a,�� ;'z'� . S s F S�,�,u �' , �;'. <br /> ; •- � ,� �} � �. ���' ': $ c '�',: �.s- � h ��-.� : : '�n :;��`� +�� s`� <br /> �..:.,sY' x .x ,.�'�"t� '�f,�'��'��"�� t^ka��-x F.n-k,,k',x r'� .,a 4'�t��- ` 6g�. "c:" k, o-,X.t�f�k ;,�f�°"�+�.�r�f�. i *„k:- �`3'1C§�x s.t Y�`�"` Y��'2-? � �A ti� ;.}�: <br /> 1�� r�'. r- ��. e-M r� ^9� � �u n�k, 1 '� �A 72 ec--�5"�'s t r�tu � }'�5;� �� #. ., �+ . � . .. <br /> ..,�,.r c���x,�"�;r'(H� ^{ aA: sr q�j;"�,�ar s"bx,"' �ki�� � �y`„ f € t 1� '�;.��`^�'� '�I Y '�a ,;s��Rr`m`h. ,F�`s�a"t,h`+s .�*� .k b $r`�,"'`�.,et ':�"�a�`i ,�.-�"`��-C;. <br /> ' �,� +c $ ���'A�_�{"� �,..F a 4 "7,�� �{: y�2'x�3`e'�' �.�c+. � �F l. k � r� �_S n�" - ,s+- `t3'4�9 e y#'' � <br /> � e �e�' �3'� .��a✓a e S �-. ._�x x y�' ��M� k A,.�'�"t �'.� i;�`M'`k'4 '� i '1�•"z-.x'�� �.�.c� ? .s d x'.��� ��..'�a fyii�p�a r-: f �+,x.:b c.. {.� � ;ss;�,' <br /> �..y�"'� '�'r"� �a -`- � ra: �5 �'��'h s� �i"�'��'�.4-�,g ��':,�.lfif$' y, �x,eF' j�i��. `�. � e 'y,��'�z 's a rt�+,�;}� 4�' 5r �'t�3+ p: ."'�-�s �"�r° �',j,�. •- <br /> �;,* � �;'f v�5.y��.���� '�'� �3�"-�..�` ��.,"��,�j,'r� s yP�'�a.;:,d�` �s.r�t �^"qL ,ts,F.�f.�s u�,�rr�,,ry«��"�.,z� aa.� .YLt �.4c sy �,�,.e 7'�,. �� <br /> F':D� f �'�ce-�„ r� t�y"b" �s�a� �x�t � s� ;a�Z- `"�,-. ° ��_f �;S* S y� �x � x� r s ° r � '- �4 �` ro a2 r'�ri-�:;s �,a � §:; <br /> � `� �. a,�=�;: e �,...�. F' -` � 4 r+�6 ,� �;r ^. .r` ,� . ;£ �� +, .� <br /> i s e.��� .aPb4�s'M,�t �+ r y -z � �.�s'4�+ ^.�:�t'�,��.1��`����'�r'`�5 a.g.�ast x ''�t,,� r�s` �,+ ,�. 3����3dy� # �- ��'�.�.a �� ,a�'�,..; <br /> "s�; ��aa � ��'�'����.,�'�,t .�s �.+���#�:^ � q��+ +n 7�� �� c C s.. � � {q�� " <br /> �'"�•�R� a��'�;a�v,�ui Y�.h w.�e,� S�n4 d ��'� �s--.i5���� :S7� ��r+.�' '�';sG 9/"w`3a�� �AS��.F ¢h��i�rxA, }}v��� -�, 'f ,'i ry�+z1.„�'.y,,+s g � �r✓.,e <br /> «, a 'F" _ � . :, ` <br /> 3� �'�T�. ; ��' � �; : t �. ,..,.. � <br /> w e��,��..��.,�«�°�.�.�.7"�_'i'�f k�,�$.. '�` a� ti '+r '�a a�vaa` y�`� �.� _ _ �� �r; �"' ,k•�.�, � �r �.�;� �* aa����' :�i. : .. <br /> . . . ,:. , ' „�.`" <br /> , ; �. . .< R. . .. ,. , :.. <br /> ` <br /> , , . - �. . . �: � .� .� , _ ' . <br /> : ,:..� , ..� `�' _ .�,,. .�. �. �. _ , ,..� '..,..�� ...� , .. �. . .. - . � .. . .. � . � ..- d . '� : ,. , ,_ . . . . <br /> , <br />